*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z953 - Presence of xenogenic heart valve - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.82 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z953 - Presence of xenogenic heart valve | 14,433 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z953 - Presence of xenogenic heart valve in DRG | 9.11 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z953 - Presence of xenogenic heart valve | 5.27 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 27.98 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 22.17 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z953 - Presence of xenogenic heart valve | $136,886,268 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z953 - Presence of xenogenic heart valve | $1,799 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z953 - Presence of xenogenic heart valve | $9,484 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z953 - Presence of xenogenic heart valve | $599,594,752 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z953 - Presence of xenogenic heart valve | $41,543 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z953 - Presence of xenogenic heart valve | 3.73 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 20.07 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 36.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z953 - Presence of xenogenic heart valve | 3,116 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z953 - Presence of xenogenic heart valve in DRG | 1.97 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z953 - Presence of xenogenic heart valve | 2.93 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 19.3 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 14.22 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z953 - Presence of xenogenic heart valve | $14,991,171 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z953 - Presence of xenogenic heart valve | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z953 - Presence of xenogenic heart valve | $4,811 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z953 - Presence of xenogenic heart valve | $78,182,365 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z953 - Presence of xenogenic heart valve | $25,091 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z953 - Presence of xenogenic heart valve | 0.39 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 10.4 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 64.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z953 - Presence of xenogenic heart valve | 2,072 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z953 - Presence of xenogenic heart valve in DRG | 1.31 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z953 - Presence of xenogenic heart valve | 5.73 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 21.83 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z953 - Presence of xenogenic heart valve | $19,183,968 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z953 - Presence of xenogenic heart valve | $1,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z953 - Presence of xenogenic heart valve | $9,259 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z953 - Presence of xenogenic heart valve | $94,606,286 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z953 - Presence of xenogenic heart valve | $45,659 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z953 - Presence of xenogenic heart valve | 5.74 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 19.45 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 37.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z953 - Presence of xenogenic heart valve | 1,942 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z953 - Presence of xenogenic heart valve in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z953 - Presence of xenogenic heart valve | 4.65 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 26.45 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z953 - Presence of xenogenic heart valve | 21.78 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z953 - Presence of xenogenic heart valve | $14,144,147 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z953 - Presence of xenogenic heart valve | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z953 - Presence of xenogenic heart valve | $7,283 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z953 - Presence of xenogenic heart valve | $71,158,699 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z953 - Presence of xenogenic heart valve | $36,642 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z953 - Presence of xenogenic heart valve | 1.65 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 15.14 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z953 - Presence of xenogenic heart valve | 49.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 1,473 |
| NYU WINTHROP HOSPITAL | 259 1ST ST | MINEOLA | NY | 11501 | 1,036 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 899 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD ANTHONY MATANO | 1010 NORTHERN BLVD | GREAT NECK | NY | 11021 | 56 |
| Dr. LAWRENCE DURBAN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 45 |
| Dr. JOSHUA D STERN | 100 PORT WASHINGTON BLVD. | ROSLYN | NY | 11576 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 204 |
| Dr. GEORGE A. PETROSSIAN | 1405 OLD NORTHERN BLVD | ROSLYN | NY | 11576 | 87 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 70 |